Your Emergency Contact Information

First name *

Last name *

Category of Student *

*If you don't have student ID yet, please choose "Incoming"

Student ID number *

if you are an incoming student, please put "incoming".

Is this your first time to submit your Emergency Contact Information? *

Do you want to change your Emergency Contact Information? *

Please update information where necessary.

Email address (other than OIST email address)* *

Email address (other than OIST email address)_n

Do you have your contact number in Japan? (Cellphone number or etc.) *

Do you have your contact number in Japan? (Cellphone number or etc.)

Your contact number in Japan (Cellphone number or etc.) * (+81)

Your contact number in Japan (Cellphone number or etc.) (+81)

Your current contact number (Cellphone number or etc.) *

Please put your contact number with your country code.

Your current contact number (Cellphone number or etc.)

Please put your contact number with your country code.

Do you currently live in Okinawa? *

Do you currently live in Okinawa?

Your building name *

Please fill in if you have already reside in Okinawa. If you choose "Other", please write the room number, building name and address.

Your building name

Please fill in if you have already reside in Okinawa. If you choose "Other", please write the room number, building name and address.

Your room number * Room #

Your room number Room #

Your current address *

Your current address

Allergy *